Provider Demographics
NPI:1558879536
Name:PAUL SIMEONE SPEECH & LANGUAGE CONSULTANT, LLC
Entity Type:Organization
Organization Name:PAUL SIMEONE SPEECH & LANGUAGE CONSULTANT, LLC
Other - Org Name:PAUL SIMEONE SPEECH & LANGUAGE CONSULTANT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMEONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, ATP
Authorized Official - Phone:781-585-1290
Mailing Address - Street 1:PO BOX 1714
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02331-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:446 SUMMER ST
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4258
Practice Address - Country:US
Practice Address - Phone:781-585-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty